MEDICARE: METROPLEX SURGICARE PARTNERS LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	000322	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00223002	OTHER	TX	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1467458513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPLEX SURGICARE PARTNERS LTD

Provider Business Mailing Address
First Line	:	14201 DALLAS PKWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-2916
Country	:	US
Telephone Number	:	972-763-3859
Fax Number	:	972-920-3445

Provider Business Practice Location Address
First Line	:	14201 DALLAS PKWY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-2916
Country	:	US
Telephone Number	:	972-763-3859
Fax Number	:	972-920-3445

Authorized Official
Title or Position	:	CONTACT
Name	:	REGINA PRICE
Credential	:
Telephone Number	:	972-763-3859

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	01/14/2020

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